Healthcare Provider Details

I. General information

NPI: 1164081535
Provider Name (Legal Business Name): RACHEL ANN HUFFMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 HILLCREST DRIVE
OSSIAN IN
46777-9053
US

IV. Provider business mailing address

240 N TILLOTSON AVE
MUNCIE IN
47304-3988
US

V. Phone/Fax

Practice location:
  • Phone: 260-622-4707
  • Fax: 260-622-4617
Mailing address:
  • Phone: 652-881-9287
  • Fax: 765-741-0335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01084638A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: